Visual and Cognitive Impairments Differentially Affect Speed Limit Compliance in Older Drivers
Objectives We test the hypothesis that clinical measures of age‐related cognitive, visual, and mobility impairments negatively impact older driver speed limit compliance to advance method developments that improve older patient care and screen, identify, and advise at‐risk older drivers. Design Real...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2021-05, Vol.69 (5), p.1300-1308 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
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| creator | Wang, Shefang Sharma, Anuj Dawson, Jeffrey Rizzo, Matthew Merickel, Jennifer |
| description | Objectives
We test the hypothesis that clinical measures of age‐related cognitive, visual, and mobility impairments negatively impact older driver speed limit compliance to advance method developments that improve older patient care and screen, identify, and advise at‐risk older drivers.
Design
Real‐world driver behaviors of older adults who had a range of cognitive, visual, and mobility abilities (measured with standardized, clinical tests) were assessed in environmental context (e.g., speed limit, traffic density, roadway type). Older driver speed limit compliance was measured in constant speed limit zones and at transition zones, where speed limits changed.
Setting
A naturalistic driving study of older adults living around Omaha, Nebraska.
Participants
Seventy‐seven, legally licensed, active, and typically aging older drivers (65–90 years) who had a range of cognitive and visual abilities.
Measurements
Drivers typical, daily driving was continuously monitored for 3 months using sensor instrumentation installed in their own vehicles. At study start, each participant completed a comprehensive, standardized, clinical assessment of cognitive, visual, and mobility abilities relevant to aging and driving.
Results
Older drivers with greater cognitive impairment (P = .10) drove slower than drivers with less cognitive impairment, linking cognitive impairment to speed control. Drivers with greater visual impairment overall complied less with speed limit changes at transition zones (P = .01) and were more likely to comply with speed limit transitions when they occurred concurrently with changes in roadway features (P |
| doi_str_mv | 10.1111/jgs.17008 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8274407</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2527376519</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4438-5a76c51329e40a5f91353bde0e12265985fa08da70bd55c424e2790038036d8b3</originalsourceid><addsrcrecordid>eNp1kctOAyEYRonRaL0sfAFD4srF6M9tYDYmptWqadKFl6WEzjCVZm7CVNO3F60aXcgGCIfDFz6EDgmckjjOFvNwSiSA2kADIhhNBCdiEw0AgCYqJXwH7YawACAUlNpGO4zxlEmqBujp0YWlqbBpCjxs543r3avFN3VnnK9t0wc8cmVpfVw6U1UrfBF3eY_vOmsLPHG16-O9uqucaXKLXYOnVWE9Hvno8WEfbZWmCvbga95DD1eX98PrZDId3wwvJknOOVOJMDLNBWE0sxyMKDPCBJsVFiyhNBWZEqUBVRgJs0KInFNuqcwAmAKWFmrG9tD52tstZ7Ut8hjXm0p33tXGr3RrnP570rhnPW9ftaKSc5BRcPwl8O3L0oZeL9qlb2JmTQWVTKaCZJE6WVO5b0Pwtvx5gYD-qELHKvRnFZE9-h3ph_z--wicrYE3V9nV_yZ9O75bK98BOYOTDA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2527376519</pqid></control><display><type>article</type><title>Visual and Cognitive Impairments Differentially Affect Speed Limit Compliance in Older Drivers</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Wang, Shefang ; Sharma, Anuj ; Dawson, Jeffrey ; Rizzo, Matthew ; Merickel, Jennifer</creator><creatorcontrib>Wang, Shefang ; Sharma, Anuj ; Dawson, Jeffrey ; Rizzo, Matthew ; Merickel, Jennifer</creatorcontrib><description>Objectives
We test the hypothesis that clinical measures of age‐related cognitive, visual, and mobility impairments negatively impact older driver speed limit compliance to advance method developments that improve older patient care and screen, identify, and advise at‐risk older drivers.
Design
Real‐world driver behaviors of older adults who had a range of cognitive, visual, and mobility abilities (measured with standardized, clinical tests) were assessed in environmental context (e.g., speed limit, traffic density, roadway type). Older driver speed limit compliance was measured in constant speed limit zones and at transition zones, where speed limits changed.
Setting
A naturalistic driving study of older adults living around Omaha, Nebraska.
Participants
Seventy‐seven, legally licensed, active, and typically aging older drivers (65–90 years) who had a range of cognitive and visual abilities.
Measurements
Drivers typical, daily driving was continuously monitored for 3 months using sensor instrumentation installed in their own vehicles. At study start, each participant completed a comprehensive, standardized, clinical assessment of cognitive, visual, and mobility abilities relevant to aging and driving.
Results
Older drivers with greater cognitive impairment (P = .10) drove slower than drivers with less cognitive impairment, linking cognitive impairment to speed control. Drivers with greater visual impairment overall complied less with speed limit changes at transition zones (P = .01) and were more likely to comply with speed limit transitions when they occurred concurrently with changes in roadway features (P < .01).
Conclusion
Results link clinical measures of age‐related cognitive and visual impairment to impaired driver safety in real‐world contexts. Real‐world sensor data coupled with detailed, personalized older driver profiles can inform patients, caregivers, interventions, policy, and the design of supportive in‐vehicle technology for at‐risk older drivers.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.17008</identifier><identifier>PMID: 33463728</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Automobile driving ; Automobile Driving - psychology ; Cognitive ability ; Cognitive Dysfunction - psychology ; Female ; Humans ; Male ; medicine ; Mobility ; naturalistic driving ; Nebraska ; older drivers ; Older people ; speed limit compliance ; Speed limits ; transportation ; Vision Disorders - psychology ; Visual impairment</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2021-05, Vol.69 (5), p.1300-1308</ispartof><rights>2021 The American Geriatrics Society</rights><rights>2021 The American Geriatrics Society.</rights><rights>2021 American Geriatrics Society and Wiley Periodicals LLC</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4438-5a76c51329e40a5f91353bde0e12265985fa08da70bd55c424e2790038036d8b3</citedby><cites>FETCH-LOGICAL-c4438-5a76c51329e40a5f91353bde0e12265985fa08da70bd55c424e2790038036d8b3</cites><orcidid>0000-0002-6178-7447</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.17008$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.17008$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,778,782,883,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33463728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Shefang</creatorcontrib><creatorcontrib>Sharma, Anuj</creatorcontrib><creatorcontrib>Dawson, Jeffrey</creatorcontrib><creatorcontrib>Rizzo, Matthew</creatorcontrib><creatorcontrib>Merickel, Jennifer</creatorcontrib><title>Visual and Cognitive Impairments Differentially Affect Speed Limit Compliance in Older Drivers</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives
We test the hypothesis that clinical measures of age‐related cognitive, visual, and mobility impairments negatively impact older driver speed limit compliance to advance method developments that improve older patient care and screen, identify, and advise at‐risk older drivers.
Design
Real‐world driver behaviors of older adults who had a range of cognitive, visual, and mobility abilities (measured with standardized, clinical tests) were assessed in environmental context (e.g., speed limit, traffic density, roadway type). Older driver speed limit compliance was measured in constant speed limit zones and at transition zones, where speed limits changed.
Setting
A naturalistic driving study of older adults living around Omaha, Nebraska.
Participants
Seventy‐seven, legally licensed, active, and typically aging older drivers (65–90 years) who had a range of cognitive and visual abilities.
Measurements
Drivers typical, daily driving was continuously monitored for 3 months using sensor instrumentation installed in their own vehicles. At study start, each participant completed a comprehensive, standardized, clinical assessment of cognitive, visual, and mobility abilities relevant to aging and driving.
Results
Older drivers with greater cognitive impairment (P = .10) drove slower than drivers with less cognitive impairment, linking cognitive impairment to speed control. Drivers with greater visual impairment overall complied less with speed limit changes at transition zones (P = .01) and were more likely to comply with speed limit transitions when they occurred concurrently with changes in roadway features (P < .01).
Conclusion
Results link clinical measures of age‐related cognitive and visual impairment to impaired driver safety in real‐world contexts. Real‐world sensor data coupled with detailed, personalized older driver profiles can inform patients, caregivers, interventions, policy, and the design of supportive in‐vehicle technology for at‐risk older drivers.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Automobile driving</subject><subject>Automobile Driving - psychology</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>medicine</subject><subject>Mobility</subject><subject>naturalistic driving</subject><subject>Nebraska</subject><subject>older drivers</subject><subject>Older people</subject><subject>speed limit compliance</subject><subject>Speed limits</subject><subject>transportation</subject><subject>Vision Disorders - psychology</subject><subject>Visual impairment</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctOAyEYRonRaL0sfAFD4srF6M9tYDYmptWqadKFl6WEzjCVZm7CVNO3F60aXcgGCIfDFz6EDgmckjjOFvNwSiSA2kADIhhNBCdiEw0AgCYqJXwH7YawACAUlNpGO4zxlEmqBujp0YWlqbBpCjxs543r3avFN3VnnK9t0wc8cmVpfVw6U1UrfBF3eY_vOmsLPHG16-O9uqucaXKLXYOnVWE9Hvno8WEfbZWmCvbga95DD1eX98PrZDId3wwvJknOOVOJMDLNBWE0sxyMKDPCBJsVFiyhNBWZEqUBVRgJs0KInFNuqcwAmAKWFmrG9tD52tstZ7Ut8hjXm0p33tXGr3RrnP570rhnPW9ftaKSc5BRcPwl8O3L0oZeL9qlb2JmTQWVTKaCZJE6WVO5b0Pwtvx5gYD-qELHKvRnFZE9-h3ph_z--wicrYE3V9nV_yZ9O75bK98BOYOTDA</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Wang, Shefang</creator><creator>Sharma, Anuj</creator><creator>Dawson, Jeffrey</creator><creator>Rizzo, Matthew</creator><creator>Merickel, Jennifer</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6178-7447</orcidid></search><sort><creationdate>202105</creationdate><title>Visual and Cognitive Impairments Differentially Affect Speed Limit Compliance in Older Drivers</title><author>Wang, Shefang ; Sharma, Anuj ; Dawson, Jeffrey ; Rizzo, Matthew ; Merickel, Jennifer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4438-5a76c51329e40a5f91353bde0e12265985fa08da70bd55c424e2790038036d8b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Automobile driving</topic><topic>Automobile Driving - psychology</topic><topic>Cognitive ability</topic><topic>Cognitive Dysfunction - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>medicine</topic><topic>Mobility</topic><topic>naturalistic driving</topic><topic>Nebraska</topic><topic>older drivers</topic><topic>Older people</topic><topic>speed limit compliance</topic><topic>Speed limits</topic><topic>transportation</topic><topic>Vision Disorders - psychology</topic><topic>Visual impairment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Shefang</creatorcontrib><creatorcontrib>Sharma, Anuj</creatorcontrib><creatorcontrib>Dawson, Jeffrey</creatorcontrib><creatorcontrib>Rizzo, Matthew</creatorcontrib><creatorcontrib>Merickel, Jennifer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Shefang</au><au>Sharma, Anuj</au><au>Dawson, Jeffrey</au><au>Rizzo, Matthew</au><au>Merickel, Jennifer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual and Cognitive Impairments Differentially Affect Speed Limit Compliance in Older Drivers</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2021-05</date><risdate>2021</risdate><volume>69</volume><issue>5</issue><spage>1300</spage><epage>1308</epage><pages>1300-1308</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><abstract>Objectives
We test the hypothesis that clinical measures of age‐related cognitive, visual, and mobility impairments negatively impact older driver speed limit compliance to advance method developments that improve older patient care and screen, identify, and advise at‐risk older drivers.
Design
Real‐world driver behaviors of older adults who had a range of cognitive, visual, and mobility abilities (measured with standardized, clinical tests) were assessed in environmental context (e.g., speed limit, traffic density, roadway type). Older driver speed limit compliance was measured in constant speed limit zones and at transition zones, where speed limits changed.
Setting
A naturalistic driving study of older adults living around Omaha, Nebraska.
Participants
Seventy‐seven, legally licensed, active, and typically aging older drivers (65–90 years) who had a range of cognitive and visual abilities.
Measurements
Drivers typical, daily driving was continuously monitored for 3 months using sensor instrumentation installed in their own vehicles. At study start, each participant completed a comprehensive, standardized, clinical assessment of cognitive, visual, and mobility abilities relevant to aging and driving.
Results
Older drivers with greater cognitive impairment (P = .10) drove slower than drivers with less cognitive impairment, linking cognitive impairment to speed control. Drivers with greater visual impairment overall complied less with speed limit changes at transition zones (P = .01) and were more likely to comply with speed limit transitions when they occurred concurrently with changes in roadway features (P < .01).
Conclusion
Results link clinical measures of age‐related cognitive and visual impairment to impaired driver safety in real‐world contexts. Real‐world sensor data coupled with detailed, personalized older driver profiles can inform patients, caregivers, interventions, policy, and the design of supportive in‐vehicle technology for at‐risk older drivers.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33463728</pmid><doi>10.1111/jgs.17008</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6178-7447</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2021-05, Vol.69 (5), p.1300-1308 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8274407 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aged, 80 and over Aging Automobile driving Automobile Driving - psychology Cognitive ability Cognitive Dysfunction - psychology Female Humans Male medicine Mobility naturalistic driving Nebraska older drivers Older people speed limit compliance Speed limits transportation Vision Disorders - psychology Visual impairment |
| title | Visual and Cognitive Impairments Differentially Affect Speed Limit Compliance in Older Drivers |
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